Nokea
The nurse is assessing an infant at a well-child visit and notices that the infant has been losing weight and is lethargic. The mother is breastfeeding the child. The nurse questions the mother about any medications that she might be taking. Which of the following, if being taken by the mother, would alert the nurse to a problem? Select all that apply.
- A. Alprazolam
- B. Buspirone
- C. Hydroxyzine
- D. Chlordiazepoxide
- E. Lorazepam
Correct Answer: A,D,E
Rationale: Benzodiazepines like alprazolam, chlordiazepoxide, and lorazepam taken by a breastfeeding mother can result in lethargy and weight loss in the infant. Buspirone and hydroxyzine do not appear to have the same effect.
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A nurse is administering an antianxiety agent that exerts its anxiolytic effects by potentiating the effects of gamma-aminobutyric acid (GABA). Which of the following might the nurse be administering? Select all that apply.
- A. Alprazolam
- B. Buspirone
- C. Hydroxyzine
- D. Chlordiazepoxide
- E. Lorazepam
Correct Answer: A,D,E
Rationale: Benzodiazepines like alprazolam, chlordiazepoxide, and lorazepam exert their anxiolytic effects by potentiating the effects of gamma-aminobutyric acid (GABA). Nonbenzodiazepines exert their effects in different ways.
After teaching a group of nursing students about antianxiety drugs, the instructor determines that the teaching was successful when the students identify which as an example? Select all that apply.
- A. Alprazolam
- B. Buspirone
- C. Hydroxyzine
- D. Chlordiazepoxide
- E. Lorazepam
Correct Answer: A,D,E
Rationale: Alprazolam, chlordiazepoxide, and lorazepam are examples of benzodiazepine antianxiety drugs. Buspirone and hydroxyzine are considered nonbenzodiazepines.
A nurse is assigned to care for a hospitalized client with anxiety. Buspirone is prescribed. When reviewing the client's history, which of the following, if found, would the nurse identify as a contraindication for this drug?
- A. Cataract
- B. Diabetic retinopathy
- C. Acute gout
- D. Psychoses
Correct Answer: D
Rationale: The use of buspirone is contraindicated in clients with hypersensitivity, psychoses, and acute narrow-angle glaucoma. Ethambutol is contraindicated in clients with cataracts and diabetic retinopathy. Pyrazinamide is contraindicated in clients with acute gout.
The nurse is reviewing the medication record of a client who is prescribed a nonbenzodiazepine. Which of the following would the nurse expect to find? Select all that apply.
- A. Alprazolam
- B. Buspirone
- C. Hydroxyzine
- D. Chlordiazepoxide
- E. Doxepin
Correct Answer: B,C,E
Rationale: Buspirone, doxepin, and hydroxyzine are examples of nonbenzodiazepine antianxiety drugs. Alprazolam and chlordiazepoxide are benzodiazepines.
A nurse is caring for a client who is receiving alprazolam. The nurse would be alert for which of the following as an initial adverse reaction with this drug?
- A. Heartburn
- B. Anorexia
- C. Headache
- D. Allergy
Correct Answer: C
Rationale: The nurse should assess for headache as the initial adverse reaction in the client after administering alprazolam. Heartburn, anorexia, and allergy are adverse reactions observed in the client after administering salicylates.